How much rates vary
Facilitymedian $71 · 10th to 90th $30 to $251Professionalmedian $95 · 10th to 90th $76 to $138
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $83.18 Median $100.00 Typical High $218.78 | Facility | None | $83.18 | $100.00 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $83.18 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $38.02 | Professional | 26 · Professional part | $26.30 | $26.30 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $67.61 | Professional | TC · Technical part | $56.23 | $56.23 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $141.25 | Professional | None (both parts) | $81.28 | $95.50 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $26.92 | $31.62 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $91.20 | Professional | TC · Technical part | $53.70 | $64.57 | $91.20 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $54.95 Median $93.33 Typical High $147.91 | Professional | None (both parts) | $54.95 | $93.33 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $660.69 Typical High $724.44 | Facility | None | $151.36 | $660.69 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $218.78 | Professional | None (both parts) | $72.44 | $72.44 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $72.44 | Professional | 26 · Professional part | $26.30 | $26.30 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $141.25 | Professional | TC · Technical part | $45.71 | $45.71 | $141.25 |
Emblem Health Setting Facility Modifier None Typical Low $45.71 Median $70.79 Typical High $199.53 | Facility | None | $45.71 | $70.79 | $199.53 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $112.20 Typical High $181.97 | Professional | None (both parts) | $87.10 | $112.20 | $181.97 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $43.65 | $69.18 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $112.20 | Professional | TC · Technical part | $69.18 | $69.18 | $112.20 |
Excellus BCBS Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | TC · Technical part | $18.20 | $18.20 | $18.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $89.13 Typical High $123.03 | Professional | None (both parts) | $77.62 | $89.13 | $123.03 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $36.31 Typical High $50.12 | Professional | 26 · Professional part | $19.50 | $36.31 | $50.12 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $57.54 Typical High $74.13 | Professional | TC · Technical part | $52.48 | $57.54 | $74.13 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $933.25 | Facility | TC · Technical part | $851.14 | $851.14 | $933.25 |
MVP Health Care Setting Facility Modifier None Typical Low $57.54 Median $109.65 Typical High $257.04 | Facility | None | $57.54 | $109.65 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $141.25 | Professional | None (both parts) | $138.04 | $138.04 | $141.25 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $63.10 | Professional | 26 · Professional part | $36.31 | $46.77 | $63.10 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $114.82 | Professional | TC · Technical part | $64.57 | $83.18 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $125.89 | Professional | None (both parts) | $66.07 | $89.13 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $25.12 | $31.62 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $57.54 Typical High $81.28 | Professional | TC · Technical part | $42.66 | $57.54 | $81.28 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $87.10 Typical High $239.88 | Facility | None | $30.20 | $87.10 | $239.88 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $117.49 | Facility | 26 · Professional part | $33.11 | $41.69 | $117.49 |
Univera Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $54.95 Typical High $190.55 | Facility | TC · Technical part | $18.20 | $54.95 | $190.55 |
Univera Setting Professional Modifier None (both parts) Typical Low $77.62 Median $89.13 Typical High $123.03 | Professional | None (both parts) | $77.62 | $89.13 | $123.03 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $36.31 Typical High $50.12 | Professional | 26 · Professional part | $19.50 | $36.31 | $50.12 |
Univera Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $57.54 Typical High $74.13 | Professional | TC · Technical part | $52.48 | $57.54 | $74.13 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $48.98 | Professional | 52 · Reduced service | $40.74 | $40.74 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | 53 · Discontinued | $16.60 | $16.60 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $79.43 | Professional | FX · Film X-ray | $66.07 | $66.07 | $79.43 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $64.57 Typical High $95.50 | Professional | 53 · Discontinued | $50.12 | $64.57 | $95.50 |
Where New York sits
The same service costs 4.5 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New York· 48th of 51
$95.50
AK $295TX $66.07
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.